The Effect of Uterine Closure Methods During Cesarean Section on Isthmocele Development
Objective: Isthmocele is frequently encountered due to the increasing rates of cesarean deliveries nowadays. This study aims to evaluate the effectiveness of uni-layer and dual-layer uterine closure techniques in preventing isthmocele formation 6 months post-cesarean delivery. Methods: This retro...
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| Format: | Article |
| Language: | English |
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2024-12-01
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| Series: | Cerrahpaşa Medical Journal |
| Online Access: | https://cerrahpasamedj.org/en/the-effect-of-uterine-closure-methods-during-cesarean-section-on-isthmocele-development-131284 |
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| author | Shamsi Mehdiyev Kübra Hamzaoğlu Canbolat İpek Betül Özçivit Erkan Mahmut Öncül Burçin Karakuş İsmail Çepni |
| author_facet | Shamsi Mehdiyev Kübra Hamzaoğlu Canbolat İpek Betül Özçivit Erkan Mahmut Öncül Burçin Karakuş İsmail Çepni |
| author_sort | Shamsi Mehdiyev |
| collection | DOAJ |
| description | Objective: Isthmocele is frequently encountered due to the increasing rates of cesarean deliveries nowadays. This study aims to evaluate the effectiveness of uni-layer and dual-layer uterine closure techniques in preventing isthmocele formation 6 months post-cesarean delivery.
Methods: This retrospective study involved 57 women aged 18-35 who had planned cesarean sections after 38 gestational weeks with singleton pregnancies at our hospital between 2019 and 2020. Patients were categorized into 2 groups based on the uterine closure method used during the cesarean sections: uni-layer technique vs. dual-layer technique. The main outcome was the incidence of isthmocele formation at the post-operative 6th month. Secondary outcomes included the remaining myometrial thickness and posterior uterine wall thickness at the 6-month follow-up.
Results: At the 6-month post-cesarean section follow-up, ultrasound revealed isthmocele formation in 17 patients (60.7%) in the uni-layer group and 6 patients (20.6%) in the dual-layer group. The remaining myometrial thickness (RMT) was 5.7 ± 1.4 mm in the uni-layer group and 6.5 ± 1.4 mm in the dual-layer group (P = .04). Remaining myometrial thickness and posterior uterine wall thickness were positively correlated.
Conclusion: The isthmocele development was significantly affected by the uterine closure method. The dual-layer closure method can be used to reduce the risk of isthmocele development.
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| format | Article |
| id | doaj-art-35915664e36b47d6a2128b7b079a79d6 |
| institution | Kabale University |
| issn | 2687-1904 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | AVES |
| record_format | Article |
| series | Cerrahpaşa Medical Journal |
| spelling | doaj-art-35915664e36b47d6a2128b7b079a79d62024-12-25T14:46:45ZengAVESCerrahpaşa Medical Journal2687-19042024-12-0148326727110.5152/cjm.2024.24013The Effect of Uterine Closure Methods During Cesarean Section on Isthmocele DevelopmentShamsi Mehdiyev0Kübra Hamzaoğlu Canbolat1İpek Betül Özçivit Erkan2Mahmut Öncül3Burçin Karakuş4İsmail Çepni5Department of Obstetrics and Gynaecology, Acıbadem Maslak Hospital, İstanbul, TürkiyeDepartment of Obstetrics and Gynaecology, Sarıyer Hamidiye Etfal Training and Research Hospital, İstanbul, TürkiyeDepartment of Obstetrics and Gynaecology, Kızıltepe State Hospital, Mardin, TürkiyeDepartment of Obstetrics and Gynaecology, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul, TürkiyeDepartment of Obstetrics and Gynaecology, Çamlıca Medipol University Hospital, İstanbul, TürkiyeDepartment of Obstetrics and Gynaecology, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul, TürkiyeObjective: Isthmocele is frequently encountered due to the increasing rates of cesarean deliveries nowadays. This study aims to evaluate the effectiveness of uni-layer and dual-layer uterine closure techniques in preventing isthmocele formation 6 months post-cesarean delivery. Methods: This retrospective study involved 57 women aged 18-35 who had planned cesarean sections after 38 gestational weeks with singleton pregnancies at our hospital between 2019 and 2020. Patients were categorized into 2 groups based on the uterine closure method used during the cesarean sections: uni-layer technique vs. dual-layer technique. The main outcome was the incidence of isthmocele formation at the post-operative 6th month. Secondary outcomes included the remaining myometrial thickness and posterior uterine wall thickness at the 6-month follow-up. Results: At the 6-month post-cesarean section follow-up, ultrasound revealed isthmocele formation in 17 patients (60.7%) in the uni-layer group and 6 patients (20.6%) in the dual-layer group. The remaining myometrial thickness (RMT) was 5.7 ± 1.4 mm in the uni-layer group and 6.5 ± 1.4 mm in the dual-layer group (P = .04). Remaining myometrial thickness and posterior uterine wall thickness were positively correlated. Conclusion: The isthmocele development was significantly affected by the uterine closure method. The dual-layer closure method can be used to reduce the risk of isthmocele development. https://cerrahpasamedj.org/en/the-effect-of-uterine-closure-methods-during-cesarean-section-on-isthmocele-development-131284 |
| spellingShingle | Shamsi Mehdiyev Kübra Hamzaoğlu Canbolat İpek Betül Özçivit Erkan Mahmut Öncül Burçin Karakuş İsmail Çepni The Effect of Uterine Closure Methods During Cesarean Section on Isthmocele Development Cerrahpaşa Medical Journal |
| title | The Effect of Uterine Closure Methods During Cesarean Section on Isthmocele Development |
| title_full | The Effect of Uterine Closure Methods During Cesarean Section on Isthmocele Development |
| title_fullStr | The Effect of Uterine Closure Methods During Cesarean Section on Isthmocele Development |
| title_full_unstemmed | The Effect of Uterine Closure Methods During Cesarean Section on Isthmocele Development |
| title_short | The Effect of Uterine Closure Methods During Cesarean Section on Isthmocele Development |
| title_sort | effect of uterine closure methods during cesarean section on isthmocele development |
| url | https://cerrahpasamedj.org/en/the-effect-of-uterine-closure-methods-during-cesarean-section-on-isthmocele-development-131284 |
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